Healthcare Provider Details

I. General information

NPI: 1407370844
Provider Name (Legal Business Name): DARRIN VANSCOY DNP, AGACNP, FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6186 S 2850 E
OGDEN UT
84403-5495
US

IV. Provider business mailing address

6186 S 2850 E
OGDEN UT
84403-5495
US

V. Phone/Fax

Practice location:
  • Phone: 801-686-5895
  • Fax:
Mailing address:
  • Phone: 801-686-5895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8262230-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number8262230-3102
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2017010996
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: